title: Group behavioral treatment of retentive encopresis.
abstract: Investigated the efficacy of behavioral group treatment for children with retentive encopresis who had previously failed medical management. Eighteen children between the ages of 4 and 11 years and their parents were seen in small treatment groups of 3 to 5 families over 6 sessions. The sessions focused on education about retentive encopresis, and the integration of behavioral parenting procedures with medical management. Parents and children were taught to deliver an enema clean-out, increase the children's dietary fiber, and appropriate toileting techniques. The results indicated that children significantly increased their fiber consumption by 40%, increased appropriate toileting by 116%, and decreased their soiling accidents by 83% pre- to posttreatment. Further, these treatment gains maintained or improved at the 6-month follow-up. The results are discussed in terms of cost-effective interventions and the interface between psychology and medicine in pediatric psychology.
authors.affiliation: Brown University Program in Medicine, Providence, Rhode Island.
authors.forename: L J
authors.initials: LJ
authors.lastname: Stark
authors.forename: J
authors.initials: J
authors.lastname: Owens-Stively
authors.forename: A
authors.initials: A
authors.lastname: Spirito
authors.forename: A
authors.initials: A
authors.lastname: Lewis
authors.forename: D
authors.initials: D
authors.lastname: Guevremont
mesh_terms: D000367:Age Factors; D001521:Behavior Therapy; D002648:Child; D002675:Child, Preschool; D003672:Defecation; D015930:Diet Records; D004688:Encopresis / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D011615:Psychotherapy, Group